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Licensing details for: 12908

Name: HAMLIN DENTAL GROUP HAMID REZA

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

8540 Reseda Blvd
101
NORTHRIDGE CA 91324-6142
LOS ANGELES county
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Practice Location

8540 Reseda Blvd
101
NORTHRIDGE CA 91324-6142
LOS ANGELES county
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Issuance Date

June 7, 2016

Expiration Date

September 30, 2026

Current Date / Time

June 21, 2025
9:24:36 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REZA, HAMID

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: REZA, HAMID

License/Registration Type: Dentist License

License Number: 41307 Primary Status: Current - Active

Address :
8540 RESEDA BLVD, #101
NORTHRIDGE CA 91324
LOS ANGELES COUNTY

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